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CVS Health Resolution Analyst - Medicare D in Scottsdale, Arizona

Job Description

CVS Health has an exciting new opportunity within the

Grievances team in Scottsdale, AZ. As a Resolution

Analyst – Med D you will be responsible for researching,

resolving, and communicating any issues, questions, or

concerns our patients and members have about their

coverage and benefits provided through Medicare Part D.

You will have the opportunity to work cross functionally

with different departments within CVS Health to support

the research into these members’ issues. Once resolved

you will be responsible for outreach to each member with a verbal and/or written response explaining the resolution of the issues.

As you support our Med D members, we will support you

by offering all the tools and resources you need in a

collaborative team based environment. Our goal is to

ensure you are able to provide top tier service and

resolution for our members. We use our own emphasis on

quality as well as government mandated turnaround times

to ensure we do our job effectively, always focusing on

helping people on their path to better health.

In order to be successful in this role you will need to be

detail-oriented with proficient research skills and

demonstrate ability to analyze data, apply learnings, and

construct a resolution in a timely manner. The most

successful Analyst is receptive to constructive feedback

and flexible in adapting to change while effective in

planning, prioritizing, and organizing their time and

workload.

Additional responsibilities of the Resolution Analyst include creatively constructing written formal communication to members, multitasking and working with up to 15 various computer applications and documenting the issue and resolutions in the database, while adhering to the strict turnaround times established by the Center for Medicare and Medicaid Services (CMS).

We offer a comprehensive benefits package which

includes medical, dental, vision insurance as well as a

wide-ranging list of supplemental benefits and discount

programs. In addition to sixteen paid days off for

employees, we also offer ten paid holidays.

We also offer the possibility of working remotely as long as certain conditions and guidelines are met.

Required Qualifications

  • 2+ years of experience working within a customer

service role on several computer applications and complex

databases for research, including Microsoft Office products

(Excel, Word, and Outlook).

Preferred Qualifications

  • Previous experience within Pharmacy Benefit

Management (PBM) or pharmaceutical related industry.

  • Bachelor’s Degree of Arts or Science

Education

  • Verifiable high school diploma or GED.

Business Overview

At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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